FEC Form 1 for National Association for Home Care & Hospice Political Action Committee (NAHC PAC)Form 1 for National Association for Home Care & Hospice Political Action Committee (NAHC PAC)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1580581

1. National Association for Home Care & Hospice Political Action Committee (NAHC PAC)

NOTE:Commmittee Name is different than previously reported

228 7th Street SE
Washington, DC 20003

NOTE: Address is different than previously reported

Email: wad@nahc.org;lisa.tignor@us.dlapiper.com

NOTE: Email address is different than previously reported

2. Date: 04/12/2022

3. FEC Committee ID #: C00188987 This committee is a separate segregated fund. Its connected organization is a Trade Association
In addition, this committee is a Lobbyist/Registrant PAC.

Affiliated Committees/Organizations

National Association for Home Care & Hospice
228 7th Street SE
Washington, DC 20003
Affiliated Relationship Code: Connected Organization

Custodian of Records:

William A. Dombi
228 7th Street SE
Washington, DC 20003
Title: Custodian of Records
Phone # (202) 547-7424

Treasurer:

William A. Dombi
228 7th Street SE
Washington, DC 20003
Title: Treasurer
Phone # (202) 547-7424

Designated Agent(s):

Calvin McDaniels
228 7th Street SE
Washington, DC 20003
Title: Assistant Treasurer
Phone # (202) 547-7424

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1580581

1. National Association for Home Care & Hospice Political Action Committee (NAHC PAC)

NOTE:Commmittee Name is different than previously reported

NOTE: Address is different than previously reported

NOTE: Email address is different than previously reported

2. Date: 04/12/2022

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: William A. Dombi
Date Signed: 04/12/2022

FORM TEXT-1

(End FEC FORM 1)

FEC FORM 1

STATEMENT OF ORGANIZATION

FILING FEC-1580581

1. National Association for Home Care & Hospice Political Action Committee (NAHC PAC)

NOTE:Commmittee Name is different than previously reported

NOTE: Address is different than previously reported

NOTE: Email address is different than previously reported

2. Date: 04/12/2022

Affiliated Committees/Organizations

Custodian of Records:

Treasurer:

Designated Agent(s):

Banks or Depositories

Signed: William A. Dombi Date Signed: 04/12/2022 function popup1580581F12() { plain_window = window.open('/dcdev/fectxt/1580581F12.txt','plain','scrollbars,resizable,width=500,height=500'); } FORM TEXT-1

(End FEC FORM 1)

Signed: William A. Dombi
Date Signed: 04/12/2022

FORM TEXT-1